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192367 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 357074 Page 1 of 1 ONE CIVIC SQUARE AACTION PROMOTION CHECK AMOUNT: $859.34 CARMEL, INDIANA 46032 3206 WESTON DRIVE KOKOMOIN 46902 CHECK NUMBER: 192367 CHECK DATE: 12/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239020 7569 859.34 FIRE PREVENTION SUPPL AAction Promotions 3206 Weston Drive §7 U O§ C Kokomo, IN 46902 Date 10/15/2010 Invoice 7569 B'll To; Ship To Carmel Fire Department Carmel Fire Department Keith Freer Keith Freer 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 P.O. Ship Date 10/15/2010 Terms Due Date 10/15/2010 Other Item'.. Description Qty. :Price Amount. CSWBG Bic Widebody Grip BLUE 500 0.84 420.00 CSWBG Bic Widebody Grip RED 500 0.84 420.00 Shipping Estimated 1 19.34 19.34 I Subtotal $859.34 Sales Tax (0.0%) $0.00 Total $859.34 AAction Promotions aactionpromo @yahoo.com 317 -281 -9681 Payments/ Credits $0.00 www.2apromtions.com Balance Due $859.34 i VOUCHER NO. WARRANT NO. ALLOWED 20 Aaction Promotions IN SUM OF 3206 Weston Drive Kokomo, IN 46902 $859.34 ON ACCOUNT OF APPROPRIATION FOR Carmei Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 7569 42- 390.20 $859.34 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except DEC =A 211!1 1 Fire Chief Title Cost distribution ledger classification if j claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev_ 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7569 $859.34 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer